Indiana
Professional Licensing Agency
DEEPAK BHAGWATLAL SHAH
Controlled Substance Registration - Physician
License number
01041755B
Date granted
07/29/1993
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
604 W BERRY STREET, FORT WAYNE IN 46802
indianalicensing.org
ID 5853228
LAST UPDATED 2024-04-26 09:06:30 UTC
LAST UPDATED 2024-04-26 09:06:30 UTC
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